Sadri Shalane K, Anderson Rebecca A, McEvoy Peter M, Kane Robert T, Egan Sarah J
School of Psychology and Speech Pathology,Curtin University,Perth,Australia.
Behav Cogn Psychother. 2017 May;45(3):312-320. doi: 10.1017/S1352465816000618. Epub 2017 Jan 31.
Perfectionism is strongly associated with obsessive compulsive disorder (OCD). Cognitive behavioural therapy for perfectionism (CBT-P) has been found to result in reductions in a range of symptoms in individuals with anxiety disorders, depression and eating disorders.
To pilot-test the efficacy of group CBT for perfectionism in participants with OCD and elevated perfectionism.
Participants were randomized to receive immediate 8-week group CBT-P (n = 4) or an 8-week waitlist followed by CBT-P (n = 7).
Reliable reductions and a large effect size indicated that CBT-P was associated with improvements in perfectionism and OCD severity at post-test. However, these changes were not clinically significant and drop-out was high, resulting in a small final sample.
CBT-P may be effective in reducing perfectionism and disorder-specific OCD symptoms. However, the high drop-out rate and lack of clinically significant findings suggest that further research needs to be conducted to determine the efficacy of CBT for perfectionism in OCD.
完美主义与强迫症（OCD）密切相关。已发现针对完美主义的认知行为疗法（CBT-P）可减轻焦虑症、抑郁症和饮食失调症患者的一系列症状。
对强迫症和完美主义程度较高的参与者进行团体CBT治疗完美主义的疗效初步测试。
参与者被随机分为两组，一组立即接受为期8周的团体CBT-P（n = 4），另一组先进行为期8周的等待期，之后接受CBT-P（n = 7）。
可靠的降低程度和较大的效应量表明，CBT-P与测试后完美主义和强迫症严重程度的改善相关。然而，这些变化在临床上并不显著，且退出率很高，导致最终样本量较小。
CBT-P可能有效减轻完美主义和特定疾病的强迫症症状。然而，高退出率和缺乏具有临床意义的结果表明，需要进一步研究以确定CBT对强迫症中完美主义的疗效。
